Susan Anderson
Individual provider Active NPI Speech-Language Pathologist · Valparaiso, IN
NPI 1992845994 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1992845994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22001194A (IN)
- Practice address
- 81 Hawick Dr
Valparaiso, IN 46385-9331 - Phone
- (219) 928-5413
- Fax
- (775) 251-7620
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001194A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22001194A | IN | Yes |
Addresses
Primary practice location
81 Hawick Dr
Valparaiso, IN 46385-9331
Mailing address
81 Hawick Dr
Valparaiso, IN 46385-9331
Other providers in Valparaiso, IN
- Shena Nicole Radam Andaya
- Simon Micah Anderson Schelling
- Autumn Anderson
- Kimberly Marie Anderson
- Lindsay Kay Anderson
- Thomas Anderson
- William Stanley Anderson
- Lonette Marie Annen
- Anps-in LLC
- Anthony Sandilla, LCSW, LLC
All providers in Valparaiso, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.